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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient states, 'I can hear a crunching or grating sound when I kneel.' She also states that 'it is very difficult to get out of bed in the morning because of stiffness and pain in my joints.' The nurse should assess for signs of what problem?

A. Crepitation
B. Bone spur
C. Loose tendon
D. Fluid in the knee joint

Expert Explanatory Rationale

Correct Answer: Crepitation

Question 2 of 5

A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months. Which response by the nurse is appropriate?

A. If these symptoms persist, you may need arthroscopic surgery.'
B. You are experiencing degeneration of your knee, which may not resolve.'
C. Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest.'
D. Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee.'

Expert Explanatory Rationale

Correct Answer: Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest.'

Question 3 of 5

When performing a musculoskeletal assessment, the nurse knows that the correct approach for the examination should be:

A. Proximal to distal.
B. Distal to proximal.
C. Posterior to anterior.
D. Anterior to posterior.

Expert Explanatory Rationale

Correct Answer: Proximal to distal.

Question 4 of 5

The ability that humans have to perform very skilled movements such as writing is controlled by the:

A. Basal ganglia.
B. Corticospinal tract.
C. Spinothalamic tract.
D. Extrapyramidal tract.

Expert Explanatory Rationale

Correct Answer: Corticospinal tract.

Question 5 of 5

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

A. Ataxia.
B. Lack of coordination.
C. Negative Homans sign.
D. Positive Romberg sign.

Expert Explanatory Rationale

Correct Answer: Positive Romberg sign.

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